정답이 있는 우선순위 설정과 위임 학습지

In mmHg, what is the normal range for arterial PaCO₂?

1. A22–26 mmHg
2. B35–45 mmHg
3. C7.35–7.45 mmHg
4. D80–100 mmHg

우선순위 문제에서 “불안정한” 환자란 무엇을 뜻하나요?

1. A당뇨병 같은 만성 질환이 있는 환자
2. B상태가 변하고 있거나 예측하기 어려운 환자
3. C다섯 가지가 넘는 약을 복용하는 환자
4. D내일 수술에 대해 불안해하며 우는 환자

In nursing management, what is an “assignment”?

1. AHanding legal accountability for a patient over to a nursing colleague
2. BAsking a colleague to do a task outside their usual scope
3. CA written order from a prescriber for a treatment
4. DGiving staff care activities that are within their own role and scope

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. ACheck the pump rate and leave the infusion running
2. BOffer an iron-rich meal to replace the lost blood
3. CStop the heparin infusion and inform the provider
4. DGive a dose of vitamin K by mouth

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AReport them to human resources at once
2. BIgnore it and hope they sort it out
3. CChange both of their assignments without any discussion
4. DMeet both of them privately to hear each side

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AMeasuring and reporting vital signs at the times set by the nurse
2. BAssessing the patient for signs of a transfusion reaction
3. CDeciding whether to stop the transfusion if the patient has chills
4. DStarting the transfusion once the blood arrives

After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?

1. ALeft-sided heart failure
2. BCardiac tamponade
3. CA blocked urinary catheter
4. DHypovolemic shock from dehydration

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AA spiral fracture in an infant is always caused by birth trauma
2. BInfants of this age often roll off furniture and break bones in this way
3. CThe injury does not fit the infant’s development, so possible abuse must be reported
4. DNo further action is needed once the fracture is treated